NPI | 1396145694 |
---|---|
Doing Business As | BARAKA HOUSE |
Entity Type | Organization |
Authorized Contact | VICTOR OKORIE Owner/Director 602-524-0824 |
Organization Subpart ? | No |
Primary Taxonomy | 3104A0625X Assisted Living Facility Assisted Living, Mental Illness |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: AZ BH4472) |
Enumeration Date | 2014-08-25 |
Last Update Date | 2022-04-13 |